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DSH450686 UNIVERSITY MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450686
Medicare Provider Number
450686
Additional Details
Current Program Status
Active
Registration Date
10/16/2007
Participating Start Date
12/1/1992
Participating Approval Date
10/16/2007
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
University Medical Center
John Lowe, Vice President of Support Services
(806) 775-8516
Primary Contact
University Medical Center
Courtney Armstrong, Director of Pharmacy
(806) 775-9391
Addresses
Street Address
602 INDIANA AVE
LUBBOCK, TX 79415
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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